MEDICARE: MRS. JENNIFER LYNN HOPKINS LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	019642-1	NY

General Provider Information

NPI Number	:	1104310242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER LYNN HOPKINS LMT

Provider Business Mailing Address
First Line	:	616 STATE ROUTE 14
Second Line	:
City	:	LYONS
State	:	NY
Zip	:	14489-9707
Country	:	US
Telephone Number	:	315-542-7431
Fax Number	:	315-462-7784

Provider Business Practice Location Address
First Line	:	786 PRE EMPTION RD
Second Line	:
City	:	GENEVA
State	:	NY
Zip	:	14456-2018
Country	:	US
Telephone Number	:	315-542-7431
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	02/10/2026

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